Average claim denial rate for large hospitals, by region

Large hospitals — those with between 250 and 400 beds — in the Northern Plains have a higher average claim denial rate than large hospitals in any other U.S. geographic region, according to RelayHealth Financial’s Revenue Cycle Index.

Advertisement

For the index, denial rate is defined as the original denial rate as expressed as percentage of claim dollars that were initially denied in relation to dollars billed on a remitted claim. The data used for the comparison is based on internal McKesson data.

Here are the average claim denial rates for large hospitals, organized by geographic region, according to the Revenue Cycle Index.

  • Northern Plains ­— 10.58 percent
  • South Central — 8.88 percent
  • Midwest — 7.89 percent
  • Southern Plains — 7.72 percent
  • Pacific — 7.58 percent
  • Northeast — 7.21 percent
  • Mountain — 7.18 percent
  • Southeast — 7.14 percent

RelayHealth’s Revenue Cycle Index can be accessed here

More articles on healthcare finance:

5 hospital bankruptcies, closures so far in 2017
Moody’s: GOP’s American Health Care Act is credit negative for nonprofit hospitals
HHS says it can’t eliminate Medicare appeals backlog by the end of 2020

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Financial Management

Advertisement

Comments are closed.